Inverse Probability Weighting for Recurrent Event Models

Fuente: arXiv
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Auteurs principaux: Sun, Jiren, Mutze, Tobias, Cook, Richard, Lyu, Tianmeng
Format: Preprint
Publié: 2025
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author Sun, Jiren
Mutze, Tobias
Cook, Richard
Lyu, Tianmeng
author_facet Sun, Jiren
Mutze, Tobias
Cook, Richard
Lyu, Tianmeng
contents Recurrent events are common and important clinical trial endpoints in many disease areas, e.g., cardiovascular hospitalizations in heart failure, relapses in multiple sclerosis, or exacerbations in asthma. During a trial, patients may experience intercurrent events, that is, events after treatment assignment which affect the interpretation or existence of the outcome of interest. In many settings, a treatment effect in the scenario in which the intercurrent event would not occur is of clinical interest. A proper estimation method of such a hypothetical treatment effect has to account for all confounders of the recurrent event process and the intercurrent event. In this paper, we propose estimators targeting hypothetical estimands in recurrent events with proper adjustments of baseline and internal time-varying covariates. Specifically, we apply inverse probability weighting (IPW) to the commonly used Lin-Wei-Yang-Ying (LWYY) and negative binomial (NB) models in recurrent event analysis. Simulation studies demonstrate that our approach outperforms alternative analytical methods in terms of bias and power.
format Preprint
id arxiv_https___arxiv_org_abs_2507_04567
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Inverse Probability Weighting for Recurrent Event Models
Sun, Jiren
Mutze, Tobias
Cook, Richard
Lyu, Tianmeng
Methodology
Applications
Recurrent events are common and important clinical trial endpoints in many disease areas, e.g., cardiovascular hospitalizations in heart failure, relapses in multiple sclerosis, or exacerbations in asthma. During a trial, patients may experience intercurrent events, that is, events after treatment assignment which affect the interpretation or existence of the outcome of interest. In many settings, a treatment effect in the scenario in which the intercurrent event would not occur is of clinical interest. A proper estimation method of such a hypothetical treatment effect has to account for all confounders of the recurrent event process and the intercurrent event. In this paper, we propose estimators targeting hypothetical estimands in recurrent events with proper adjustments of baseline and internal time-varying covariates. Specifically, we apply inverse probability weighting (IPW) to the commonly used Lin-Wei-Yang-Ying (LWYY) and negative binomial (NB) models in recurrent event analysis. Simulation studies demonstrate that our approach outperforms alternative analytical methods in terms of bias and power.
title Inverse Probability Weighting for Recurrent Event Models
topic Methodology
Applications
url https://arxiv.org/abs/2507.04567